Posterior fossa epidural hematomas: A review and synthesis

Roda, JoséM.; Giménez, Daniel; Pérez-Higueras, Antonio; Blázquez, Martín G.; Pérez-Alvarez, Marcelino

doi:10.1016/0090-3019(83)90138-6

Cited by 53 publications

(21 citation statements)

References 18 publications

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“…In 1986, Brambilla and colleagues [10] stated in their review that only 157 cases of EDH located in the posterior cranial fossa had been recorded since 1901. Thus PFEDH make up between 1.2 and 15.0 % of all epidural haematomas [3,5,6,10,16,18,24,32,34,37,39,41,43,45,49,52,56,60,63] . However, some reports showed a more frequent occurrence of PFEDH (from 41 to 55 % of all reviewed cases) in children and adolescents [10,41,43,49,53] .…”

Section: Discussion ▼mentioning

confidence: 99%

“…Rarely, EDHs have occurred in other locations e. g. in the frontal, parietal, occipital, vertex or posterior fossa regions [4,7,11,19,21,26,35,47,54] . An overall lower incidence of posterior fossa injuries, and the rarity of EDHs located in the posterior cranial fossa (PFEDH) has made the diagnosis and treatment of this condition more challenging [24,49,52,63] . Owing to the rarity of PFEDHs and their association with rapid deterioration and a potentially lethal outcome from brainstem compression, we decided to report on our experience with 24 such cases.…”

Section: Introduction ▼mentioning

confidence: 99%

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Posterior Fossa Extradural Haematomas

Balik

Lehto²,

Hoza

et al. 2010

Cen Eur Neurosurg

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Section: Discussion ▼mentioning

confidence: 99%

Section: Introduction ▼mentioning

confidence: 99%

Posterior Fossa Extradural Haematomas

Balik

Lehto²,

Hoza

et al. 2010

Cen Eur Neurosurg

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“…Prognosis became better with the introduction of the CT-scan. But there are only a few series with a total number of 52 cases of EDHPF published so far, in which diagnosis was made by means of the CT-scan ~, 4, 5, 1 l, 13,26,30,32,33 Patients and Methods Between 1975 and1986 in the Department of Neurological Surgery of the university of Erlangen (FRG) we have collected 18 consecutive cases of EDHPF, all diagnosed by the CT-scan, among a total number of 521 EDH (3.4%). The clinical findings will be presented and the main factors responsible for the mortality will be discussed.…”

Section: Introductionmentioning

confidence: 99%

Extradural haematoma of the posterior fossa. Twelve years experiences with CT-scan

Neubauer

1987

Acta neurochir

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18 cases of an extradural haematoma of the posterior fossa (EDHPF) are presented and the clinical and radiological findings are demonstrated. The onset of symptoms was acute in 10 patients and subacute in the other 8 patients. The overall mortality was 22%, but only acute course patients died (40%). All subacute cases survived. The most important factors influencing mortality were the level of consciousness immediately before the operation and the presence of hydrocephalus prior to surgery. Other coexisting intracranial lesions had no influence on mortality but on the quality of survival. Compared with the literature there is a certain decrease in mortality in the subacute course patients since the introduction of computed tomography.

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“…1,7,13,19,22 They are, however, the most common traumatic space-occupying lesions of the posterior fossa 18 and are a serious complication secondary to head injury. Clinically, symptoms may be silent and slow, but the associated deterioration is often sudden and quick becoming fatal if not promptly treated.…”

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confidence: 99%

Epidural hematomas of the posterior cranial fossa

Bor-Seng-Shu¹,

Aguiar²,

Leme³

et al. 2004

FOC

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Object The authors present their experience in the management of posterior fossa epidural hematoma (PFEDH), which involved an aggressive diagnostic approach with the extensive use of head computerized tomography (CT) scanning. Methods The authors treated 43 cases of PFEDH in one of the largest health centers in Brazil. Diagnosis was established in all patients with the aid of CT scanning because the clinical manifestations were frequently nonspecific. Cases were stratified by clinical course, Glasgow Coma Scale score, and their radiological status. Based on clinical and radiological parameters the patients underwent surgical or conservative management. Conclusions Compared with outcomes reported in the available literature, good outcome was found in this series. This is primarily due to the broad use of CT scanning for diagnostic and observational purposes, which, in the authors' opinion, led to early diagnosis and prompt treatment.

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Posterior fossa epidural hematomas: A review and synthesis

Cited by 53 publications

References 18 publications

Posterior Fossa Extradural Haematomas

Posterior Fossa Extradural Haematomas

Extradural haematoma of the posterior fossa. Twelve years experiences with CT-scan

Epidural hematomas of the posterior cranial fossa

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